Transcript Highlights:

• Members of the Mortality Review Committee also include representation from the DDS Director's Office,
• Jennifer redid the way that they did the Mortality Review Committee about a year and a half ago.
• I asked and personally reviewed every single death that the mortality review had.
• Was the Mortality Review Board dismantled before the death of Zachary Moore?
• The Mortality Review Committee itself has basically stayed the same.

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• And then lastly is our suicide mortality review.
• review currently we're in a mortality review currently we're in a strategic<00:05:26.080> planning
• That’s where we’re going to be doing our suicide mortality review with SAMHSA.
• Unfortunately, we won't be there because that's during our Academy for our suicide mortality review,
• Unfortunately, we won't be there because that's during our Academy for our suicide mortality review,

Keywords: 1187, senate, all

Transcript Highlights:

• There's an oft-referenced graphic that suggests that wind turbine mortality is relatively low, very low
• compared to other sources of mortality, that is, I think.
• It's very difficult to actually estimate mortality.
• To date, there has not been a known whooping crane mortality due to a turbine strike, although there
• have been documented sandhill crane mortalities associated with wind energy.

Bills: SB3074, HB49, HB2440, HB3556, HB3619, HB3866, HB4042, HB4112, HB4271, HB4413, HB4426, HB5033, HB49

Keywords: SB 3074, TCEQ, Texas Commission on Environmental Quality, Water Code, permit applications, environmental permitting, administrative record, ex parte communications, legislative communications, governor, lieutenant governor, state legislators, district projects, public records, recusal, conflict of interest, substantial interest, agency transparency, environmental regulation, permit renewal

Transcript Highlights:

• In 2024, all-cause mortality, cancer death rates, and cardiovascular death rates dropped to all-time
• California currently has one of the lowest all-cause mortality rates, infant mortality rates, and highest
• And although pregnancy-related mortality has improved post-pandemic, it is still higher than it was a
• And although pregnancy-related mortality has improved post-pandemic, it is still higher than it was a
• While California's infant and pregnancy-related mortality rates rang amongst the lowest in the U.S.,

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• not at all broad as we previously had it, but it is limited to child death review panel, maternal mortality
• review committee, and the fetal and infant mortality review panel for the exemption.
• review committee, and the fetal and infant mortality review panel for the exemption.
• death maternal mortality and fetal and<00:03:21.120> infant<00:03:21.519> mortality<00
• :03:22.400> and<00:03:22.640> the<00:03:22.800> health and infant mortality and

Keywords: Public Health and Welfare - Room 216, 24 February, 2026; 3:00 PM, 925, all

Summary: The committee first took House Bill 1637 off the table and adopted a committee substitute amendment narrowing Public Records Act exemptions to records of the child death review panel, maternal mortality review committee, and fetal and infant mortality review panel. Supporters said the exemption was intended to let providers and hospitals speak candidly in closed-door reviews to identify mistakes and prevent future deaths, while critics questioned how the public and legislature would learn the outcomes. The amendment and then the bill as amended were adopted by voice vote. House Bill 479, which would extend temporary licensing timeframes for the psychology board and the board of licensed marriage and family therapists from 30 to 60 days, was then considered. An amendment was adopted clarifying that the bill does not alter existing education, supervised training, or examination requirements. Senator Hill raised concerns that the bill’s language could allow a temporary license to last 365 days even if licensure requirements were not met, and the committee ultimately tabled the bill subject to call so the language could be clarified. The committee also heard House Bill 514, the Mississippi Veterinary Practice Act, which updates the vet-client-patient relationship definition, adds a public member and a certified veterinary technician to the board, removes some fees, and adds title protection for certified veterinary technicians. Witnesses said the changes were meant to support the profession and keep more graduates in-state. The bill passed after questions about the certification’s scope. House Bill 612, authorizing intergovernmental agreements and involving Coast Guard training and installation support services, was tabled subject to call after members said they needed more explanation. Finally, House Bill 1152, the Right to Try the Medical Cannabis Act, was considered. The bill creates a process for patients with chronic, progressive, severely disabling, or terminal illnesses not already covered by the medical cannabis statute to petition the Department of Health for access, with the treating physician initiating the request. An amendment was adopted to clarify that out-of-state patients receiving care in Mississippi are not excluded if they meet the same process and standards. Members then debated unclear language near the end of the bill about which provisions control in case of conflict; the sponsor said the new right-to-try provisions would govern for the covered patients. The discussion continued with examples of conditions that might qualify, such as non-malignant chronic pain syndromes, and the bill remained under consideration as the transcript ended.

Transcript Highlights:

• Members of the Mortality Review Committee also include representation from the DDS Director's Office,
• Jennifer redid the way that they did the Mortality Review Committee about a year and a half ago.
• I asked and personally reviewed every single death that the mortality reviewed.
• Was the Mortality Review Board dismantled before the death of Zachary Moore?
• The Mortality Review Committee itself has basically stayed the same.

Keywords: 1204, all

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended oversight discussion with the Department of Human Services about the death of Zachary Moore at the Southeast Arkansas Human Development Center (later clarified in testimony as the Warren facility). DHS officials described Moore’s background, said he died after being restrained in a prone position for about 13 minutes, and reported that a nurse later administered a chemical restraint before CPR was attempted. They said the agency settled with the family for $725,000, terminated 13 staff members, changed facility leadership, and brought in consultants under a directed plan of correction from the Office of Long-Term Care to review policies, retrain staff, and conduct a root-cause analysis. Later testimony clarified that the death certificate listed the manner of death as homicide and the cause as physiologic stress associated with struggle and prone restraint; committee members also noted that six people had been charged with manslaughter and neglect of a vulnerable person. Members focused on restraint policy, staff training, chain of command during emergencies, family communication, and whether warning signs had been missed. DHS said it has written restraint protocols, annual restraint training, and a mortality review process, but acknowledged that the Warren facility had multiple failures, including use of a prone restraint, improper chemical restraint, poor supervision, inadequate communication, and problems with equipment and behavior plans. Officials said they were revising policies, creating clearer crisis-team roles, and retraining staff, and that the consultant work would be shared across the other human development centers. Several members pressed DHS on why the family had not been kept informed, why the agency was not prepared with basic facts, and whether a more formal independent audit of facilities should exist. The committee also discussed broader staffing and funding issues across the human development centers. DHS said CNAs start at about $39,000 a year, that the centers rely heavily on float and contract staff, and that there are about 2,000 people on a waiting list for services. Members argued that low pay, turnover, and rural staffing shortages contribute to risk and asked for recruitment and retention plans, possible regional pay differentials, and more legislative support. DHS said it is drafting a systemwide retention and recruitment plan and expects to bring it to ALC, while also implementing a separate rate study for certain PASS program services in January 2027. The meeting ended after comments from Zachary Moore’s mother, Angela Stevens, who said money cannot replace her son and urged the state to ensure no other family experiences the same loss; the committee asked DHS to keep members and Ms. Stevens updated on consultant reports and recruitment efforts before adjourning.

Transcript Highlights:

• Members of the Mortality Review Committee also include representation from the DDS Director's Office,
• Jennifer redid the way that they did the Mortality Review Committee about a year and a half ago.
• Was the mortality review board dismantled before the death of Zachary Moore?
• The mortality review committee itself has basically stayed the same, so it's that...
• The Mortality Review Committee itself has basically stayed the same.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• In 2024, all-cause mortality, cancer death rates, and cardiovascular death rates dropped to all-time
• California currently has one of the lowest all-cause mortality rates, infant mortality rates, and highest
• And although pregnancy-related mortality has improved post-pandemic, it is still higher than it was a
• Specifically, our ongoing unacceptable racial disparities in pregnancy-related and infant mortality,
• While California's infant and pregnancy-related mortality rates rang amongst the lowest in the U.S.,

Keywords: 988, house, all

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget and several budget change proposals, including environmental health, healthcare quality, healthy communities, lab sciences, and family health programs. CDPH said its $5.1 billion budget is split between state operations and local assistance, with major estimates showing WIC participation essentially flat but food costs rising due to inflation, and the Genetic Disease Screening Program remaining relatively stable as birth-related caseloads decline slightly. Members and public commenters raised concerns and support around WIC continuity during federal shutdowns, the California Reducing Disparities Project, lead poisoning prevention, school nutrition implementation, prenatal vitamin testing, vector-borne disease work, and the hospital bed capacity registry. Dr. Erica Pond presented the 2026 State of Public Health report, highlighting improvements such as record-low all-cause, cancer, and cardiovascular mortality, an all-time high life expectancy, and the first decline in overdose deaths in 14 years. She also noted continuing problems, including rising behavioral health-related deaths among younger adults, persistent racial disparities in maternal and infant outcomes, and major geographic health gaps. She emphasized the importance of prevention, the Behavioral Health Services Act, and public health preparedness for emergencies, fires, and other environmental threats. Members discussed the need to invest upstream in prevention and to address social drivers of health, environmental hazards, and mental health. In a separate update on California’s response to federal public health actions, CDPH described efforts to preserve vaccine confidence and public health coordination through new partnerships such as the West Coast Health Alliance, the Governor’s Public Health Alliance, and the FACT Coalition. CDPH also explained how it is implementing AB 144 by posting and updating immunization and preventive service recommendations based on evidence and consultation with medical organizations, while declining some federal changes it found unsupported. Members asked about measles outbreaks, vaccine uptake, and how quickly the new initiatives might affect outcomes. The committee also reviewed the AIDS Drug Assistance Program estimate, which CDPH said would decrease because of lower caseloads and the expiration of one-time funds. Public commenters urged reinvestment of ADAP rebate funds into HIV prevention, PrEP, testing, disease intervention staff, and related services. The final and most contentious item was public health information technology systems: CDPH said Sapphire and CalReady are funded, but CalConnect, CARE, and the vaccine management system are not proposed for funding while the administration evaluates utilization and costs. Members and local health officials strongly opposed defunding the systems, arguing they are essential for disease investigation, vaccination tracking, outbreak response, and avoiding a return to manual spreadsheets and phone calls. The hearing ended without votes or formal action.

Transcript Highlights:

• Black women in the U.S. face a maternal mortality rate that's two times, well, two to three times higher
• Why do we still have the highest mortality rates? Why are mothers overlooked?
• In the United States maternal mortality rates remain consistently low, but in California they need to
• And our death rates and maternal mortality rates, particularly for black people, is something that should
• California has made real progress by cutting maternal... mortality in half, but that progress has not

Keywords: 988, house, all

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• Anne Case and August Deaton coined the phrase deaths of despair to capture the alarming rise of mortality
• Texas Maternity Mortality and Morbidity Review Committee, MMMRC, has identified gaps in clinical knowledge
• and training as key drivers of maternal mortality. and morbidity.

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• Texas has one of the highest maternal mortality rates in the country, with black women dying at disproportionate
• As Darcy mentioned, Texas already has one of the highest maternal mortality rates in the country, and
• their futures and their families, we're also seeing an increase, an alarming increase in maternal mortality
• , in infant mortality.
• Texas already has a maternal mortality crisis, and too many Texans must travel hours just to see a doctor

Transcript Highlights:

• Those assumptions are the mortality rates, rates of termination and retirement, and then the service-based
• So starting with mortality, what we observed in our study is that males are tending to live longer than
• Those assumptions are the mortality rates, rates of termination and retirement, and then the service-based
• We do update our mortality, or underlying mortality rates, consistent with the most recent published
• public sector mortality tables put out by the Society of Actuaries.

Summary: The Pension Funding Council met on June 23, 2026, for a work session that began with an overview of the Higher Education Supplemental Retirement Plan (SRP) and a 2025 accounting valuation of that plan. Staff explained that the SRP is a closed defined benefit supplement for higher education employees hired before the 2011 closure, with employer contributions currently pre-funding benefits in institution-specific trusts while institutions still pay benefits on a pay-as-you-go basis. The State Actuary’s office reported that the plan’s accounting position has improved, with combined market assets of about $245 million against $377 million in accrued liability, and that strong market performance since 2022 has increased the asset-to-liability ratio. The office emphasized that this was an educational accounting valuation, not a funding valuation for rate-setting. The council then received the 2025 actuarial valuation report for the state retirement systems. Actuaries reviewed the recent demographic experience study, noting updated assumptions for mortality, retirement, termination, and salary growth, and said the net impact on most plans was small. They reported that most plans’ funded ratios improved, with all plans at least 94% funded and several at or above 100%, and that contribution rates for the 2027–2029 biennium are generally lower than current rates. They also noted that future rates could be affected by market volatility as deferred gains are recognized over the next few years. During public comment, a representative of the Association of Washington Cities urged the council to consider rate reductions to help local governments facing budget pressures. In executive session, the council first approved a motion directing the Office of the State Actuary to perform an actuarial evaluation and analysis of each institution’s Higher Education Supplemental Retirement Plan, including institution-specific contribution rates, asset sufficiency, and funding policy options, due by July 1, 2028. The council then adopted the 2027–2029 pension contribution rates based on the 2025 actuarial valuation report. Both motions passed 5-0, with one member excused. The meeting concluded with no further business.

Transcript Highlights:

• because we use the new mortality table specific to teachers.
• And when with the and to mortality.
• we use the also raised mortality because we use the new<00:31:12.320> mortality<00:31:12.920><
• Uh reflected these new mortality tables.
• for mortality or anything else. for mortality or anything else.

Keywords: Meeting Start: 00:00:00 Attendance Roll Call: 00:00:12 Approval of Minutes: 00:01:34 Actuarial Valuation Update – KPPA: 00:02:10 Actuarial Valuation Update – TRS: 00:25:32, 958, all

Summary: The meeting began with roll call, confirmation of a quorum, and approval of the prior minutes. The main presentation was from KPPA officials Ryan Barrow and Erin Saratt on the annual actuarial valuations for the retirement and insurance systems. They said the systems’ funding status improved overall, with three of five insurance funds fully funded, CERS hazardous dropping from over 100% funded to 90.9% because of premium changes, and KRS receiving $650 million in supplemental funding over the biennium. They also reported strong investment returns above assumed rates, higher payroll and membership counts, and resulting actuarial losses tied to higher salaries and premiums, especially on the insurance side. Members asked several questions about what drove the actuarial losses and whether legislation affected them. KPPA said the CERS insurance loss was driven by premium increases and Senate Bill 10, while the pension-side losses were largely due to higher payroll and benefits for Tier 1 and Tier 2 members. They explained that new Tier 3 employees are designed to add no additional unfunded liability, and that the state administers the systems but does not directly control all hiring. Questions also focused on retiree health premiums, which KPPA said rose about 15% for non-Medicare retirees and 38% for Medicare retirees, with the increase attributed to utilization, prescription costs, and the Inflation Reduction Act. The committee then heard from TRS Deputy Executive Secretary and General Counsel Beau Barnes on the 2025 TRS actuarial valuation. He reported that the Retirement Annuity Trust and Health Insurance Trust both received full funding, the retirement trust’s funded ratio improved to 61%, TRS 4 remains well funded with no liability, and the health insurance trust improved to 89.1%. Barnes said TRS is on track to fully fund legacy liabilities within the amortization period, with 2044 as the point when the system reflects 100% funding and 2046 as the last year needing additional dollars for the legacy liability. He also explained that lower assumed investment returns and updated mortality assumptions increased liabilities, but that TRS uses direct rate smoothing for budgeting purposes. At the end of the meeting, the chair circulated a proposed set of “do’s and don’ts of pensions,” emphasizing that future legislation should not create unfunded liabilities. Barnes also noted he would later discuss several legislative proposals for the 2026 session, but the transcript provided ends before that discussion or any votes on those proposals.

Transcript Highlights:

• Change the name of the MMR panel to the Maternal Mortality Review Committee, or MMRC; 2.
• Change the name of the MMR panel to the Maternal Mortality Review Committee, or MMRC; 2.
• <00:04:23.919> review said um the maternal mortality review said um the maternal mortality
• I think that it was maternal mortality review panel was what we were using.
• I think that it was maternal mortality review panel was what we were using.

Keywords: 1191, senate, all

Transcript Highlights:

• It is well known It is well known to all of us that postpartum mortality is a real issue in our country
• So that's the immediate approach to prevention of postpartum mortality.
• It is well known to all of us that postpartum mortality is a real issue in our country and in the state
• So that's the immediate approach to prevention of postpartum mortality.
• We've seen substantial improvements in mortality.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• and the Administrative Code of the City of New York in relation to establishing fetal and infant mortality
• We've actually set up a maternal mortality review board in the State of New York.
• We've actually set up a maternal mortality review board in the State of New York.
• A few years ago, this would establish a fetal and infant mortality review board.
• It's both to study fetal and infant mortality and provide recommendations, as well as morbidity, and

Keywords: 993, senate, all

Summary: The meeting covered a long list of health and social services bills, many of them recurring proposals that had passed the Senate before or been vetoed in prior years. Topics included primary care investment, penalties for adult care facility safety violations, emergency insulin access, limited nursing services in adult care facilities, a State Medical Indemnity Fund ombudsman, hospital ownership and private equity oversight, controlled substances for people with substance use disorder, rescue inhaler information in the immunization system, nursing home closure procedures, Medicaid coverage for complex care assistance, increased personal needs allowances, parental education for minors with disabling conditions, physician and dentist loan repayment/support, higher public health penalties, direct Medicaid billing for licensed creative arts therapists, adoption registry information release, fetal and infant mortality review boards, reusable food and beverage containers, DNR and hospice decision rules, a special needs assisted living demonstration program, temporary licensure for out-of-state health professionals at a triathlon event, and lead reporting and mitigation in school water. Sponsors described most bills as straightforward efforts to improve access, transparency, or care quality, while several members noted technical fixes or fiscal concerns on a few measures, including outdated program references and the need for funding to support expanded loan repayment eligibility. Some bills were framed as responses to prior vetoes or as renewed attempts to advance previously passed Senate measures. The chair also noted the committee still lacked a budget and expected additional meetings. For each bill, members generally moved and seconded the measures, and the committee voted favorably, usually with some members recorded as without recommendation. Most bills were advanced either to first reading, finance, or higher education, depending on referral. No bill was defeated in the transcript.

Transcript Highlights:

• Thank you for this maternal mortality report, Dr. Carolyn Naami and Ms. Erica Tenny.
• c> the<00:29:22.159> maternal<00:29:22.480> mortality function of the maternal mortality
• <00:35:32.960> the data to reduce maternal mortality the data to reduce maternal mortality
• It talks about the mortality rate going down significantly in recent years.
• Are we at pre-pandemic levels for the mortality right now, or no?

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• We see a higher incidence of adverse events as well as patient mortality.
• that these investments have not led to an expansion of methadone access or any change in patient mortality
• > increased resident outcomes, including increased resident outcomes, including increased mortality
• :52.560> rates<00:11:52.800> of<00:11:53.040> pain<00:11:53.360> and mortality
• , higher rates of pain and mortality, higher rates of pain and pressure<00:11:54.079> ulcers,<

Keywords: 1183, house

Summary: The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers. Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care. The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.

Transcript Highlights:

• In 2021, the board also updated the mortality assumption to use generational mortality improvements.
• This updated the mortality assumption to use generational mortality improvements.
• This simply means we are anticipating continued improvements in mortality in future years.
• Mortality tables were updated to the latest set of public pension plan mortality tables.

Summary: The Joint Committee on Public Employee Retirement held a hearing focused on the Missouri State Employees’ Retirement System (MOSERS) and its long-term financial condition. MOSERS Executive Director Abby Spieler and investment consultant Tim McKinery outlined the system’s structure, membership, funding policy, and investment approach. They reported that as of the June 30, 2025 valuation, MOSERS had a 55.4% funded ratio, about $17.4 billion in liabilities, and about $9.6 billion in assets. They explained that the FY27 employer contribution rate was certified at 32% under the board’s minimum contribution policy, up from 30.25%, and said the increase is tied to a $46 million new decision item in House Bill 5. The presentation emphasized that MOSERS is a mature plan with more retirees and inactive members than active employees, and that slow or declining payroll growth has made it harder to pay down unfunded liabilities. MOSERS described recent policy changes intended to improve long-term stability, including lowering the investment return assumption over time, updating mortality assumptions, and adopting a minimum employer contribution policy. The board’s 2024 asset-liability study also led to a shift toward more public equity exposure and less fixed income, with the consultant saying asset allocation has been the main driver of relative investment underperformance versus peers in recent years, though recent returns have improved and the portfolio has outperformed its policy index over shorter periods. Committee members questioned why the funded ratio has fallen over time, whether past investment assumptions were too optimistic, and whether the board had been too conservative in its asset allocation. MOSERS representatives responded that the earlier strategy was a board-approved risk-balanced approach and that hindsight makes the results easier to judge, while stressing that current changes are intended to improve long-term outcomes. Members also asked about the impact of inactive members, the automatic refund proposal for small terminated accounts, and the ongoing Catalyst Capital litigation. MOSERS said the proposed legislation would automatically refund small inactive balances and auto-escalate deferred compensation contributions, and reported that litigation-related attorney fees have been about $20 million so far. No votes were taken, and the committee adjourned after questions and discussion.